宫腔镜下电切术与宫腔镜下刮宫术治疗异常子宫出血的疗效比较  

Comparison of therapeutic effects between hysteroscopic electrocautery and hysteroscopic curettage in the treatment of abnormal uterine bleeding

作　　者：王国飞[1] Wang Guofei(Department of Gynecology,Shunde Hospital Affiliated to Jinan University,Foshan 528305,China)

机构地区：[1]暨南大学附属顺德医院妇科,广东佛山528305

出　　处：《实用妇科内分泌电子杂志》2024年第7期10-12,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究宫腔镜下电切术与宫腔镜下刮宫术治疗异常子宫出血(AUB)的临床疗效。方法选择本院收治的60例AUB患者,按照治疗方式的不同分为宫腔镜下电切术组和宫腔镜下刮宫术组,比较两组疗效。结果宫腔镜下电切术组病因的检出率为86.67%,高于宫腔镜下刮宫术组的80.00%,但比较差异无统计学意义(P>0.05)。宫腔镜下电切术组并发症发生率低于宫腔镜下刮宫术组,手术时间长于宫腔镜下电切术组,差异有统计学意义(P<0.05)。结论在AUB的治疗上,宫腔镜下电切术和宫腔镜下刮宫手术的病因检出率均较高,但宫腔镜下电切术治疗效果更好,并发症更少,值得临床推广与应用。Objective To explore the clinical efficacy of hysteroscopic electrocautery and hysteroscopic curettage in the treatment of abnormal uterine bleeding(AUB).Methods 60 AUB patients admitted to our hospital were selected and divided into two groups according to different treatment methods:hysteroscopic electrocautery group and hysteroscopic curettage group.The therapeutic effects of the two groups were compared.Results The detection rate of etiology in the hysteroscopic electrocautery group was 86.67%,higher than the 80.00%in the hysteroscopic curettage group,but the difference was not statistically significant(P>0.05).The incidence of complications in the hysteroscopic electrocautery group was lower than that in the hysteroscopic curettage group,and the surgical time was longer than that in the hysteroscopic electrocautery group,with a statistically significant difference(P<0.05).Conclusion In the treatment of AUB,both hysteroscopic electrocautery and hysteroscopic curettage have higher rates of pathogen detection.However,hysteroscopic electrocautery has better therapeutic effects and fewer complications,making it worthy of clinical promotion and application.

关 键 词：宫腔镜下电切术 宫腔镜下刮宫术 异常子宫出血 临床疗效 

分 类 号：R713.4[医药卫生—妇产科学]